HAEMOPHELIA & CIRCUMCISION

Benefits of circumcision

Hygiene above all is the most important reason to get circumcised. Those that are opposed to circumcisions may say that one does not need to get circumcised to keep the penis in a clean and hygienic state and that regular self hygiene is sufficient.

This is like saying that you can allow your nails or hair (armpit, pubic hair) to grow as long as you want as long as you wash it regularly. Given the fact that a circumcision done by a fully trained professional is a safe and a relatively affordable procedure – it seems logical that the foreskin that serves no function is better removed.

Reasons for a Circumcision

There are many reasons a man may want to remove their foreskin. While it is a personal decision, reasons vary from appearance to medical and religious. Below are some of the more common reasons.

Cosmetic :

Circumcision is common in American society and some men want the same aesthetic appearance as others. We also commonly see men who want to revise the appearance of their circumcision.

Hygiene :

A circumcised penis is easier to keep clean for some men, thus preventing diseases such as balanitis.

Phimosis :

A condition that happens when the foreskin cannot be easily pulled back over the head of the penis.Men with this condition frequently experience pain during sexual intercourse or masturbation.

In babies, the foreskin and the glans develop as one, only separating during childhood. As a result the infant foreskin is frequently tight and inelastic. Some doctors may suggest circumcision in these circumstances. Others say that generally the foreskin loosens by the age of three and that true phimosis, which affects fewer than 1% of boys, is very rare before the age of five.

If possible, watchful waiting is sensible in suspected phimosis because the vast majority of foreskins loosen themselves naturally. While only 4% of baby boys have a retractable foreskin, 98-99% of 18 year-olds do. The figures are from the British Medical Journal, 1993, the same article that revealed that many surgeons simply cannot tell the difference between an everyday tight foreskin and true phimosis.

Paraphimosis :

Somewhat the opposite of phimosis, this is a condition where the foreskin becomes trapped after being pulled back and then swells behind the head of the penis.

Balanitis & balanoposthitis:

Inflammation of the penis head and foreskin caused by the lack of aeration and the accumulation of smegma under the foreskin.

In Balanitis the glans and/or the foreskin become inflamed. It can affect men of all ages including boys (most commonly around the age of three or four).

Poor hygiene, a tight foreskin, skin disorders, allergy to products such as soap or washing powder or to the latex or spermicides in condoms can all damage the skin and, if this becomes infected, balanitis can develop. Balanitis is not transmitted sexually but bacteria called candida can cause it. Sex may also damage the skin. It is best avoided by keeping the penis clean, especially under the foreskin but in recurrent cases circumcision might be offered.

Painful sex due to tight foreskin

If an adult is finding sex increasingly painful as a result of non-retractile foreskin, having a circumcision can be one of the most satisfying treatments they can undergo that will result in painless and enjoyable sex. It has to be remembered that following a circumcision you do need to abstain from penetrative sex for about a month.

Cancer:

Men with a circumcision have a much lesser risk of penile cancer. Circumcision at infancy completely prevents penile cancer. Studies have also shown that cervical cancer for females is significantly reduced when their male partner is circumcised.

HIV and other STD's:

Circumcised men have 60% lower incidence of HIV than uncircumcised men. Men with a circumcision are 10 times less likely to contract HIV from a female partner. The incidences of most other STD's are lower for men with a circumcised penis.

Overwhelming evidence now exists for a role of circumcision in reducing the transmission of HIV

One of the first randomised controlled trials (RCT) undertaken was at The University of Versailles, in South Africa, in Orange Farm, a community with a low rate of circumcision and a high prevalence of HIV infection, showed that circumcision reduced the rate of HIV infection among heterosexual man by 60% [- RCT of male circumcision for reduction of HIV infection risk: the ANRS 1265 trial. PLOS Med 2005; 2(11): e298].

Since then, two other RCTs in Kenya and Uganda have confirmed the results of South Africa. These studies were published in the highly reputable British Journal ‘The Lancet’. [HIV prevention I young men in Kisumu, Kenya: a randomised controlled trial. Lancet 2007; 369:643-56; Male circumcision for HIV prevention in men in Rakai, Uganda: a randomised controlled trial. Lancet 2007; 369:657-66]

MALE CIRCUMCISION

Circumcised Men Take Longer to Reach Ejaculation, but That May Be OK

Adult circumcision affects a guy's sexual performance -- but not in a bad way, according to a new study.

Circumcised men take longer to reach ejaculation, which can be viewed as "an advantage, rather than a

complication," writes lead researcher Temucin Senkul

When is Adult Circumcision Necessary

Adult circumcision is not uncommon, though its also not something a doctor will advise unless a man is

experiencing certain health problems, such as balanoposthitis, inflammation of the head of the penis and

overlying foreskin, or phimosis, difficulty retracting the foreskin. Both problems are seen more commonly in diabetics, but can occur in any uncircumcised man. They are caused by chronic irritation and scarring and can usually be prevented with careful cleaning beneath the foreskin

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